Provider Demographics
NPI:1285195669
Name:FEREZ-PINZON, ANYUL MELISSA (MD)
Entity type:Individual
Prefix:DR
First Name:ANYUL
Middle Name:MELISSA
Last Name:FEREZ-PINZON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6220
Mailing Address - Country:US
Mailing Address - Phone:912-350-8598
Mailing Address - Fax:
Practice Address - Street 1:6130 N LA CHOLLA BLVD STE 210
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3574
Practice Address - Country:US
Practice Address - Phone:520-797-6881
Practice Address - Fax:520-219-4926
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2024-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AZ73249208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program